Clinic
Ascension Borgess Lee Hospital
Ascension Borgess Lee Hospital was paid $2.70M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 89% of everything it billed.
33Billing provider infoASCENSION BORGESS LEE HOSPITAL
DOWAGIAC, MI 49047
DOWAGIAC, MI 49047
33aNPI1194717504assigned 08/22/2005
33bProvider typeRural Health Clinic/Center
28Total paid$2.70M
24GClaims104,066
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Michigan
Rank by total paid#18 of 193
Median peer was paid$426K
This provider vs. median6.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official HOUGHTON, MARINA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 22,815 | $573K | |
| 2019 | 18,630 | $487K | |
| 2020 | 12,170 | $320K | |
| 2021 | 13,645 | $369K | |
| 2022 | 10,353 | $266K | |
| 2023 | 16,996 | $416K | |
| 2024incomplete | 9,457 | $266K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 89% | 44,996 | 39,999 | $2.41M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5.2% | 24,126 | 22,527 | $140K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 12,183 | 11,663 | $53K |
| Q3014 | Telehealth originating site facility fee | 1.1% | 3,631 | 3,532 | $31K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,885 | 3,768 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 746 | 741 | $7K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,355 | 966 | $7K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 562 | 552 | $5K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 626 | 617 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 506 | 503 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 559 | 559 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 423 | 415 | $3K |
37 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,738 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 245 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 890 | $3K |
| 99000 | <1% | 398 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,305 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 356 | $2K |
| 90677 | <1% | 141 | $1K | |
| 81002 | <1% | 1,540 | $1K | |
| 90686 | <1% | 340 | $941.69 | |
| 90651 | <1% | 159 | $688.02 | |
| 99442 | <1% | 27 | $402.93 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 109 | $361.32 |
| 90656 | <1% | 86 | $357.60 | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 20 | $354.30 |
| 90715 | <1% | 43 | $154.00 | |
| 90734 | <1% | 170 | $128.85 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 66 | $107.54 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 56 | $77.81 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 54 | $76.08 |
| 90723 | <1% | 75 | $26.50 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 49 | $24.04 |
| 90474 | <1% | 13 | $24.00 | |
| 81025 | <1% | 30 | $18.96 | |
| 81003 | <1% | 46 | $11.22 | |
| 90647 | <1% | 242 | $9.75 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 54 | $9.10 |
| 85018 | <1% | 41 | $7.84 | |
| 90620 | 0% | 45 | $0.00 | |
| 90680 | 0% | 42 | $0.00 | |
| 82962 | 0% | 13 | $0.00 | |
| 91301 | 0% | 12 | $0.00 | |
| 90700 | 0% | 138 | $0.00 | |
| 99051 | 0% | 1,381 | $0.00 | |
| 90633 | 0% | 161 | $0.00 | |
| 90710 | 0% | 170 | $0.00 | |
| 90670 | 0% | 201 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHOUGHTON, MARINA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Ascension Borgess Hospital | Kalamazoo, MI | $43.08M |
| Ascension Medical Group Promed | Kalamazoo, MI | $10.60M |
| Ascension Medical Group Promed | Portage, MI | $7.97M |
| Ascension Borgess Lee Hospital | Dowagiac, MI | $6.88M |
| Ascension Borgess Allegan Hospital | Allegan, MI | $6.03M |
| Ascension Borgess Hospital | Plainwell, MI | $4.84M |
| Ascension Borgess Allegan Hospital | Allegan, MI | $3.71M |
| Ascension Borgess Hospital | Plainwell, MI | $3.71M |
| Ascension Medical Group Promed | Kalamazoo, MI | $2.55M |
| Ascension Medical Group Promed | Portage, MI | $2.07M |
| Ascension Medical Group Promed | Portage, MI | $1.64M |
| Ascension Borgess Lee Hospital | Dowagiac, MI | $1.58M |
| Ascension Borgess Hospital | Portage, MI | $1.22M |
| Ascension Borgess Allegan Hospital | Gobles, MI | $298K |
| Ascension Borgess Allegan Hospital | Otsego, MI | $294K |
| Ascension Borgess Allegan Hospital | Fennville, MI | $246K |
| Ascension Borgess Hospital | Kalamazoo, MI | $91K |
| Ascension Borgess Allegan Hospital | Allegan, MI | $55K |
| Ascension Borgess Allegan Hospital | Allegan, MI | $43K |
| Ascension Borgess Hospital | Kalamazoo, MI | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.